Test Bank For Basic Geriatric Nursing 5 Edition Gloria Hoffman Wold
Test Bank For Basic Geriatric Nursing 5 Edition Gloria Hoffman Wold
Test Bank For Basic Geriatric Nursing 5 Edition Gloria Hoffman Wold
ANS: A
Ageism is a negative belief pattern that influences persons to discriminate against persons
solely on the basis of age and can lead to destructive behaviors toward the older adult.
DIF: Cognitive Level: Comprehension REF: 5 OBJ: 3
TOP: Ageism KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
4. The nurse points out that the most beneficial legislation that has influenced health
care for the older adult is:
a. Medicare and Medicaid.
b. elimination of the mandatory retirement age.
c. the Americans with Disabilities Act.
d. the Drug Benefit Program.
ANS: A
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid.
DIF: Cognitive Level: Application REF: 16 OBJ: 6
TOP: Legislation KEY: Nursing Process Step: Implementation
MSC: NCLEX: N/A
5. The nurse clarifies that a housing option for the older adult that offers the privacy of
an apartment with restaurant-style meals and some medical and personal care
services is the:
a. government-subsidized housing.
b. long-term care facility.
c. assisted-living center.
d. group housing plan.
ANS: C
Assisted-living arrangements offer the privacy of an apartment or condominium with
meals prepared and served, limited medical care, and a variety of personal services.
DIF: Cognitive Level: Application REF: 14 OBJ: 9
TOP: Housing Options KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
6. The 75-year-old man who has been hospitalized following a severe case of
pneumonia is concerned about his mounting hospital bill and asks if his Medicare
coverage will pay for his care. The nurse’s most helpful response is “Yes. Medicare:
a. pays 100% of all medical costs for persons older than 65.”
b. Part B pays hospital costs and physician fees.”
c. Part A pays for inpatient hospital costs.”
d. Part D pays 80% of the charges made by physicians.”
ANS: C
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physician’s charges,
and Part D helps defray prescription drug costs.
DIF: Cognitive Level: Application REF: 16 OBJ: 6
TOP: Medicare Provisions KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
7. The daughter of a patient who has been diagnosed with terminal cancer asks which
documents are required to allow her to make health care decisions for her parent. The
nurse’s most informative response is:
a. “Advance directives indicate the degree of intervention desired by the patient.”
b. “A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the
next of kin.”
c. “A durable power of attorney for health care transfers decision-making authority
for health care to a designated person.”
d. “A living will transfers authority to the physician.”
ANS: C
A durable power of attorney for health care transfers the authority for decision making to
a designated person.
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Advance Directives KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
8. The daughter of a resident in a long-term care facility is frustrated with her 80-year-
old mother’s refusal to eat. The nurse explains that the refusal to eat is a behavior
that is an:
a. effort to maintain a portion of independence and self direction.
b. indication of approaching Alzheimer disease.
c. effort to gain attention.
d. indication of the dislike of the institutional food.
ANS: A
Loss of independence and control is a significant issue for the older adult. Some residents
will exercise whatever control they may retain.
DIF: Cognitive Level: Application REF: 21 OBJ: 11
TOP: Loss of Independence KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
9. The nurse clarifies that the conditions of a living will go into effect when:
a. the patient declares that desire in writing.
b. a family member indicates the desire for curative therapy to cease.
c. two physicians agree in writing that the criteria in the living will have been met.
d. the physician and a family member agree that the criteria in the living will have
been met.
ANS: C
Two physicians must agree in writing that the criteria of the living will have been met
before the document can go into effect.
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Living Wills KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
11. When discussing extended care with a patient who has had a hip replacement and
needs physical therapy, the nurse would recommend a(n):
a. basic care facility.
b. skilled care facility.
c. subacute care facility.
d. assisted-living residence.
ANS: B
Skilled care facilities offer not only basic care but also services from trained licensed
professionals such as nurses, physical therapists, speech therapists, and occupational
therapists.
DIF: Cognitive Level: Application REF: 16 OBJ: 9
TOP: Extended-Care Facilities KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. The 80-year-old woman who is recovering from a stroke is being sent to an
extended-care facility. She is concerned about the expense. The nurse can allay
anxiety by explaining that Medicare will cover extended-care facility costs:
a. for a period of 30 days.
b. for a period of 45 days for physical therapy.
c. for a period of 100 days for needed skilled care.
d. until she is able to be discharged home.
ANS: C
Medicare will cover extended-care costs for 100 days while skilled care is being applied
to the resident. After 100 days, the resident must revert to private pay or ancillary long-
term care insurance.
13. The senior citizen political action group that uses volunteers and lobbyists to advance
the interests of older adults is the:
a. American Association of Retired Persons (AARP).
b. National Council of Senior Citizens (NCSC).
c. National Alliance of Senior Citizens (NASC).
d. Gray Panthers.
ANS: A
The AARP uses volunteers and lobbyists to advance the interests and welfare of older
adults.
DIF: Cognitive Level: Knowledge REF: 12 OBJ: 7
TOP: Political Action Groups KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
14. The nurse gives an example of the caregiver who is guilty of elder abuse as the:
a. daughter who uses her mother’s Social Security money to purchase her mother’s
medication.
b. son who puts an alarm on the front door to prevent his mother from wandering out
of the house.
c. wife who allows her mentally competent husband to refuse to take a bath for a
week.
d. frail spouse who is unable to bathe or change the clothes of her physically
dependent husband.
ANS: D
Unintentional abuse or neglect can occur when the caregiver lacks the stamina to meet
care needs. Even though physically unable, the frail wife is guilty of elder abuse. The
wife should seek assistance to prevent neglect.
DIF: Cognitive Level: Analysis REF: 22 OBJ: 13
TOP: Elder Abuse KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
15. The nurse cautions that the most frequent response to elder abuse by the abused older
adult is:
a. anger.
b. physical retaliation.
c. notification of authorities.
d. nothing at all.
ANS: D
Fear of retaliation or abandonment keeps most abused elders silent.
Average 112.383
Discussion of the Results.
In the first five determinations, the analytical operations were
conducted as nearly as possible alike, but the preparation of the
portions of cadmium chloride taken for analysis was varied very
much as will be seen by referring back to this part of this paper. The
results do not vary more than ±0.015 from their average. This is very
strong evidence of the purity of the chloride used for, if it contained
any impurity, we should have expected to vary the amount in the
different portions. After this, attention was paid especially to the
analytical process, for it was thought that there probably was some
serious error in the method, the result being higher than any that had
previously been obtained, if we exclude Dumas’ first series which he
himself did not accept. The conditions were varied in many ways to
see how much the result could be influenced, but under no
conditions were results as low as Huntington’s average (112.24)
obtained. A number of errors were found in the method during the
work, but they seem to neutralize each other to a great extent. The
more important ones will now be given. Nearly every filtrate including
the corresponding wash water was examined for chlorine after the
silver and cadmium had been precipitated by hydrogen sulphide.
The excess of hydrogen sulphide was expelled by boiling, after the
addition of some nitric acid. In two cases an inverted condenser was
used. On adding silver nitrate a precipitate was always obtained
showing the presence of chlorine. Care was always taken to filter off
sulphur formed by the oxidation of hydrogen sulphide, before adding
the silver nitrate. The precipitate was never very heavy, and was not
estimated quantitatively. It is evident that cadmium nitrate exerts a
solvent action on silver chloride. In some cases a very large excess
of silver nitrate was added but it did not change the results markedly.
Silver nitrate itself dissolved silver chloride to some extent. The
increase in insolubility, if any, on adding an excess of silver nitrate is
probably counterbalanced by the increased error due to occlusion of
nitrates in the silver chloride. Stas (Aronstein’s Trans. p. 156) says it
is impossible to contract silver chloride or bromide in a solution
containing salts without there being occlusion and that the precipitate
can only be freed from them by dividing up the contracted mass by
shaking with pure water. This was not done here owing to the
solubility of silver chloride in pure water, and the complications
introduced in the analytical part. The occlusion of nitrates by the
silver chloride would lower the atomic weight found. The silver
chloride obtained always darkened on heating and contained
cadmium, as was shown in the following manner: The lump of silver
chloride was attached to the negative pole of a cell and electrolyzed
in a bath containing dilute sulphuric acid. The resulting metal was
then dissolved in nitric acid and the silver precipitated by adding
hydrochloric acid. The filtrate was evaporated to expel the nitric acid
and the residue taken up with water and tested for cadmium with
hydrogen sulphide. An appreciable quantity was always found. This
method of examination does not show the occluded silver nitrate.
Another error which tends to lower the atomic weight found is due to
the platinum crucibles used for filtering. If a silver nitrate solution is
filtered through such a crucible there will be an increase in weight
due to silver being deposited. This takes place in acidified solutions
as well as in neutral ones. Washing with ammonia does not remove
the deposit, but strong nitric acid does, the washings giving a test for
silver. Whether the depositing of silver is due to the action of spongy
platinum in contact with the compact metal of the crucible or to some
impurity in the platinum sponge was not determined, but the former
seems by far the most probable. The increase in weight during the
time required for filtering a determination must have been quite small
however. The samples of cadmium chloride employed for
determinations XX and XXI were prepared by burning cadmium in a
current of chlorine. The glass tube used was attached somewhat and
the solution of the chloride was very slightly turbid in each case. The
turbidity was so slight however, that no very serious error could have
resulted from it, particularly as it was probably partly
counterbalanced by the formation of some potassium chloride. For
more accurate work, it should have been made and redistilled in a
porcelain tube. These two samples were tested for free chlorine with
potassium iodide and starch paste, but none was found. Some of the
specimens of chloride prepared by fusion in a current of hydrochloric
acid were found to be neutral, using tropaeolin as an indicator.
As nearly as can be judged, the above errors would probably
counterbalance each other to a great extent, and thus give a fairly
close approximation to the atomic weight of cadmium when the
average of all the determinations is taken. The value 112.383 thus
obtained can only be regarded as tentative.
The Bromide method.
Average 112.08
Average 111.87